Evolving Concepts in Hemodynamic Management

Dear Colleagues,

Personalized medicine is becoming a widely accepted concept in future critical care and perioperative medicine. Hemodynamic management, one of the most important measures of resuscitation, has a huge impact on outcomes. It can be lifesaving, but only if it is delivered in an adequate manner. Fluid management and vasoactive support are the most important components of hemodynamic therapy, but both are double-edged swords. Over- and under-resuscitation can have similar adverse effects leading to unfavorable outcomes. Therefore, individualizing and conceptualizing hemodynamic management are mandatory. However, personalizing therapy is not easy. It requires a multimodal approach and sometimes the use of invasive hemodynamic monitoring. Recently, due to evolving technology, less invasive and non-invasive alternatives have appeared on the market. However, validating these devices and defining the patient populations in which they can be used as reliable alternatives to the invasive gold standard remain challenging. Translating all the information within this multimodal concept into clinical decision making requires intensive training and a lot of practice. Will artificial intelligence help us in the future? Most likely, the answer is yes. This Special Issue, “Evolving Concepts in Hemodynamic Management”, will focus on these topics in chapters written by internationally acknowledged experts in the field.

Prof. Dr. Zsolt Molnar
Prof. Dr. Xavier Monnet
Guest Editors

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